9 March 2016
During a routine inspection
Yorkshire Care and Support is registered to provide personal care. Care and support is provided to people who live in their own homes within the Wakefield area. On the day of our inspection 75 people were receiving support with personal care.
The registered provider is also the registered manager for the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Staff had received training in safeguarding vulnerable people and were aware of what may put people at risk of harm and the action they should take to keep people safe.
Care plans contained risk assessments which recorded the level of risk to staff and people who used the service and the actions that should be taken to reduce the risk of harm to people and staff.
There were thorough recruitment procedures in place with references and disclosure and barring service checks completed on potential employees.
The recording of the administration of people’s medicines was not safe. Records did not provide a clear and accurate record of the medicines people were prescribed and the medicines which staff had administered at each individual administration. This demonstrated a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
New staff received induction, and ongoing training and support. Training consisted of workbooks practical and face to face training.
We have made a recommendation about mental capacity assessments and documentation in care plans.
People who were assessed as needing support to eat and drink received assistance from staff.
People told us staff were kind and caring. People’s care plans included a summary of their life history. Staff were able to clearly explain the steps they took to maintain people’s privacy and dignity.
People told us they had a care plan in place and they had been involved in the development of this. Care plans were detailed and people’s daily logs recorded the care and support they had received.
People were aware of how to complain and where complaints were received, these were acted on.
During our inspection we found the culture of the organisation to be open and transparent. Staff understood their role and responsibilities and the views and opinions of people who used the service were obtained.